eligible 1.0 → 3.0.0.beta17

metadata

@@ -1,141 +1,222 @@
 --- !ruby/object:Gem::Specification
 name: eligible
 version: !ruby/object:Gem::Version
-  version: '1.0'
-  prerelease: 
+  version: 3.0.0.beta17
 platform: ruby
 authors:
-- Andy Brett
+- Katelyn Gleaon
+- Rodrigo Dominguez
+- Aaron Bedra
 autorequire: 
 bindir: bin
 cert_chain: []
-date: 2013-02-07 00:00:00.000000000 Z
+date: 2020-07-13 00:00:00.000000000 Z
 dependencies:
 - !ruby/object:Gem::Dependency
-  name: mocha
-  requirement: &70130122371040 !ruby/object:Gem::Requirement
-    none: false
+  name: rest-client
+  requirement: !ruby/object:Gem::Requirement
     requirements:
-    - - ! '>='
+    - - "~>"
       - !ruby/object:Gem::Version
-        version: '0'
-  type: :development
+        version: 2.0.0
+  type: :runtime
   prerelease: false
-  version_requirements: *70130122371040
+  version_requirements: !ruby/object:Gem::Requirement
+    requirements:
+    - - "~>"
+      - !ruby/object:Gem::Version
+        version: 2.0.0
 - !ruby/object:Gem::Dependency
-  name: shoulda
-  requirement: &70130122370000 !ruby/object:Gem::Requirement
-    none: false
+  name: multi_json
+  requirement: !ruby/object:Gem::Requirement
     requirements:
-    - - ! '>='
+    - - "~>"
       - !ruby/object:Gem::Version
-        version: '0'
-  type: :development
+        version: '1.7'
+  type: :runtime
   prerelease: false
-  version_requirements: *70130122370000
+  version_requirements: !ruby/object:Gem::Requirement
+    requirements:
+    - - "~>"
+      - !ruby/object:Gem::Version
+        version: '1.7'
 - !ruby/object:Gem::Dependency
-  name: test-unit
-  requirement: &70130122368580 !ruby/object:Gem::Requirement
-    none: false
+  name: rake
+  requirement: !ruby/object:Gem::Requirement
     requirements:
-    - - ! '>='
+    - - "~>"
       - !ruby/object:Gem::Version
-        version: '0'
+        version: '12.0'
   type: :development
   prerelease: false
-  version_requirements: *70130122368580
+  version_requirements: !ruby/object:Gem::Requirement
+    requirements:
+    - - "~>"
+      - !ruby/object:Gem::Version
+        version: '12.0'
 - !ruby/object:Gem::Dependency
-  name: rake
-  requirement: &70130122367240 !ruby/object:Gem::Requirement
-    none: false
+  name: rspec
+  requirement: !ruby/object:Gem::Requirement
     requirements:
-    - - ! '>='
+    - - "~>"
       - !ruby/object:Gem::Version
-        version: '0'
+        version: '3.4'
   type: :development
   prerelease: false
-  version_requirements: *70130122367240
+  version_requirements: !ruby/object:Gem::Requirement
+    requirements:
+    - - "~>"
+      - !ruby/object:Gem::Version
+        version: '3.4'
 - !ruby/object:Gem::Dependency
-  name: rest-client
-  requirement: &70130122450000 !ruby/object:Gem::Requirement
-    none: false
+  name: rspec_junit_formatter
+  requirement: !ruby/object:Gem::Requirement
     requirements:
-    - - ~>
+    - - "~>"
       - !ruby/object:Gem::Version
-        version: '1.4'
-  type: :runtime
+        version: 0.3.0
+  type: :development
   prerelease: false
-  version_requirements: *70130122450000
-- !ruby/object:Gem::Dependency
-  name: multi_json
-  requirement: &70130122473580 !ruby/object:Gem::Requirement
-    none: false
+  version_requirements: !ruby/object:Gem::Requirement
     requirements:
-    - - ! '>='
+    - - "~>"
       - !ruby/object:Gem::Version
-        version: 1.0.4
-    - - <
+        version: 0.3.0
+- !ruby/object:Gem::Dependency
+  name: simplecov
+  requirement: !ruby/object:Gem::Requirement
+    requirements:
+    - - "~>"
       - !ruby/object:Gem::Version
-        version: '2'
-  type: :runtime
+        version: '0.11'
+  type: :development
   prerelease: false
-  version_requirements: *70130122473580
+  version_requirements: !ruby/object:Gem::Requirement
+    requirements:
+    - - "~>"
+      - !ruby/object:Gem::Version
+        version: '0.11'
 description: Eligible is a developer-friendly way to process health care eligibility
-  checks. Learn more at https://eligibleapi.com
+  checks. Learn more at https://eligible.com
 email:
-- andy@andybrett.com
+- k@eligible.com
+- rod@eligible.com
+- abedra@eligible.com
 executables: []
 extensions: []
 extra_rdoc_files: []
 files:
-- .gitignore
-- CONTRIBUTORS
+- ".circleci/config.yml"
+- ".codeclimate.yml"
+- ".gitignore"
+- ".rspec"
+- ".rubocop.yml"
+- ".ruby-version"
+- CHANGELOG.md
 - Gemfile
+- Gemfile.lock
 - LICENSE
 - README.md
 - Rakefile
 - eligible.gemspec
 - lib/eligible.rb
 - lib/eligible/api_resource.rb
+- lib/eligible/calculator_deploy_url.rb
 - lib/eligible/claim.rb
+- lib/eligible/coverage.rb
+- lib/eligible/coverage_resource.rb
+- lib/eligible/customer.rb
 - lib/eligible/demographic.rb
 - lib/eligible/eligible_object.rb
+- lib/eligible/encryptor.rb
+- lib/eligible/enrollment.rb
 - lib/eligible/errors/api_connection_error.rb
 - lib/eligible/errors/api_error.rb
 - lib/eligible/errors/authentication_error.rb
 - lib/eligible/errors/eligible_error.rb
+- lib/eligible/errors/invalid_request_error.rb
+- lib/eligible/icd.rb
 - lib/eligible/json.rb
-- lib/eligible/plan.rb
-- lib/eligible/service.rb
+- lib/eligible/lockbox.rb
+- lib/eligible/medicare.rb
+- lib/eligible/oauth_token.rb
+- lib/eligible/ocr.rb
+- lib/eligible/original_signature_pdf.rb
+- lib/eligible/payer.rb
+- lib/eligible/payer_mapping.rb
+- lib/eligible/payment.rb
+- lib/eligible/preauth_resource.rb
+- lib/eligible/precert.rb
+- lib/eligible/provider_model.rb
+- lib/eligible/public_key.rb
+- lib/eligible/received_pdf.rb
+- lib/eligible/referral.rb
+- lib/eligible/risk_assessment.rb
+- lib/eligible/session_token.rb
+- lib/eligible/ticket.rb
 - lib/eligible/util.rb
+- lib/eligible/v1_0/action.rb
+- lib/eligible/v1_0/attribute.rb
+- lib/eligible/v1_0/charge.rb
+- lib/eligible/v1_0/claim.rb
+- lib/eligible/v1_0/claim_service_line.rb
+- lib/eligible/v1_0/contract.rb
+- lib/eligible/v1_0/device.rb
+- lib/eligible/v1_0/discount.rb
+- lib/eligible/v1_0/enrollment.rb
+- lib/eligible/v1_0/estimate.rb
+- lib/eligible/v1_0/estimate_service_line.rb
+- lib/eligible/v1_0/fee.rb
+- lib/eligible/v1_0/fee_refund.rb
+- lib/eligible/v1_0/file.rb
+- lib/eligible/v1_0/file_link.rb
+- lib/eligible/v1_0/insurance_company.rb
+- lib/eligible/v1_0/insurance_company_alias.rb
+- lib/eligible/v1_0/insurance_policy.rb
+- lib/eligible/v1_0/patient_question.rb
+- lib/eligible/v1_0/patient_questionnaire.rb
+- lib/eligible/v1_0/patient_record.rb
+- lib/eligible/v1_0/patient_statement.rb
+- lib/eligible/v1_0/patient_statement_service_line.rb
+- lib/eligible/v1_0/payment_report.rb
+- lib/eligible/v1_0/product.rb
+- lib/eligible/v1_0/provider.rb
+- lib/eligible/v1_0/remark.rb
+- lib/eligible/v1_0/reports/accuracy_stats.rb
+- lib/eligible/v1_0/reports/estimate_friction.rb
+- lib/eligible/v1_0/reports/in_scope_distribution.rb
+- lib/eligible/v1_0/rest_api_base.rb
+- lib/eligible/v1_0/rule.rb
+- lib/eligible/v1_0/session.rb
+- lib/eligible/v1_0/transaction.rb
+- lib/eligible/v1_0/treatment.rb
+- lib/eligible/v1_0/value_list.rb
+- lib/eligible/v1_0/value_list_item.rb
+- lib/eligible/v1_0/verification.rb
 - lib/eligible/version.rb
-- test/test_eligible.rb
-- test/test_helper.rb
-homepage: https://eligibleapi.com/
+- lib/eligible/visit_type.rb
+- lib/eligible/x12.rb
+homepage: https://github.com/eligible/eligible-ruby
 licenses:
 - MIT
+metadata: {}
 post_install_message: 
 rdoc_options: []
 require_paths:
 - lib
 required_ruby_version: !ruby/object:Gem::Requirement
-  none: false
   requirements:
-  - - ! '>='
+  - - ">="
     - !ruby/object:Gem::Version
       version: '0'
 required_rubygems_version: !ruby/object:Gem::Requirement
-  none: false
   requirements:
-  - - ! '>='
+  - - ">"
     - !ruby/object:Gem::Version
-      version: '0'
+      version: 1.3.1
 requirements: []
-rubyforge_project: 
-rubygems_version: 1.8.13
+rubygems_version: 3.0.6
 signing_key: 
-specification_version: 3
+specification_version: 4
 summary: Ruby wrapper for the Eligible API
-test_files:
-- test/test_eligible.rb
-- test/test_helper.rb
+test_files: []

data/CONTRIBUTORS

@@ -1 +0,0 @@
-Andy Brett <andy@andybrett.com>

data/lib/eligible/plan.rb

@@ -1,42 +0,0 @@
-module Eligible
-  COMMON_ATTRIBUTES = [:timestamp, :eligible_id, :mapping_version, :primary_insurance, :additional_insurance]
-  STATUS_ATTRIBUTES = [:type, :coverage_status]
-  BALANCE_ATTRIBUTES = [:balance, :comments]
-  STOP_LOSS_ATTRIBUTES = [:stop_loss_in_network, :stop_loss_out_network]
-
-  class Plan < APIResource
-    def self.get(params, api_key=nil)
-      response, api_key = Eligible.request(:get, url, api_key, params)
-      Util.convert_to_eligible_object(response, api_key)
-    end
-
-    def all
-      error ? nil : to_hash
-    end
-
-    def status
-      keys = COMMON_ATTRIBUTES + STATUS_ATTRIBUTES
-      error ? nil : to_hash.select { |k, v| keys.include?(k) }
-    end
-
-    def deductible
-      keys = COMMON_ATTRIBUTES + STATUS_ATTRIBUTES + [:deductible_in_network, :deductible_out_network]
-      error ? nil : to_hash.select { |k, v| keys.include?(k) }
-    end
-
-    def dates
-      keys = COMMON_ATTRIBUTES
-      error ? nil : to_hash.select { |k, v| keys.include?(k) }
-    end
-
-    def balance
-      keys = COMMON_ATTRIBUTES + BALANCE_ATTRIBUTES
-      error ? nil : to_hash.select { |k, v| keys.include?(k) }
-    end
-
-    def stop_loss
-      keys = COMMON_ATTRIBUTES + STOP_LOSS_ATTRIBUTES
-      error ? nil : to_hash.select { |k, v| keys.include?(k) }
-    end
-  end
-end

data/lib/eligible/service.rb

@@ -1,39 +0,0 @@
-module Eligible
-  class Service < APIResource
-    COMMON_ATTRIBUTES = [:timestamp, :eligible_id, :mapping_version, :additional_insurance]
-    STATUS_ATTRIBUTES = [:type, :coverage_status]
-    VISITS_ATTRIBUTES = [:not_covered, :comments, :precertification_needed, :visits_in_network, :visits_out_network]
-    COPAYMENT_ATTRIBUTES = [:copayment_in_network, :copayment_out_network]
-    COINSURANCE_ATTRIBUTES = [:coinsurance_in_network, :coinsurance_out_network]
-    DEDUCTIBLE_ATTRIBUTES = [:deductible_in_network, :deductible_out_network]
-
-    def self.get(params, api_key=nil)
-      response, api_key = Eligible.request(:get, url, api_key, params)
-      Util.convert_to_eligible_object(response, api_key)
-    end
-
-    def all
-      error ? nil : to_hash
-    end
-
-    def visits
-      keys = COMMON_ATTRIBUTES + STATUS_ATTRIBUTES + VISITS_ATTRIBUTES
-      error ? nil : to_hash.select { |k, v| keys.include?(k) }
-    end
-
-    def copayment
-      keys = COMMON_ATTRIBUTES + STATUS_ATTRIBUTES + COPAYMENT_ATTRIBUTES
-      error ? nil : to_hash.select { |k, v| keys.include?(k) }
-    end
-
-    def coinsurance
-      keys = COMMON_ATTRIBUTES + STATUS_ATTRIBUTES + COINSURANCE_ATTRIBUTES
-      error ? nil : to_hash.select { |k, v| keys.include?(k) }
-    end
-
-    def deductible
-      keys = COMMON_ATTRIBUTES + STATUS_ATTRIBUTES + DEDUCTIBLE_ATTRIBUTES
-      error ? nil : to_hash.select { |k, v| keys.include?(k) }
-    end
-  end
-end

data/test/test_eligible.rb

@@ -1,279 +0,0 @@
-require File.expand_path('../test_helper', __FILE__)
-require 'test/unit'
-require 'shoulda'
-require 'mocha'
-require 'rest-client'
-
-class TestEligible < Test::Unit::TestCase
-  include Mocha
-
-  context "Version" do
-    should "have a version number" do
-      assert_not_nil Eligible::VERSION
-    end
-  end
-
-  context "General API" do
-    setup do
-      Eligible.api_key = "TEST"
-      @mock = mock
-      Eligible.mock_rest_client = @mock
-    end
-
-    teardown do
-      Eligible.mock_rest_client = nil
-      Eligible.api_key = nil
-    end
-
-    should "not specifying api credentials should raise an exception" do
-      Eligible.api_key = nil
-      assert_raises Eligible::AuthenticationError do
-        Eligible::Plan.get({})
-      end
-    end
-
-    should "specifying invalid api credentials should raise an exception" do
-      Eligible.api_key = "invalid"
-      response = test_response(test_invalid_api_key_error, 401)
-      assert_raises Eligible::AuthenticationError do
-        @mock.expects(:get).once.raises(RestClient::ExceptionWithResponse.new(response, 401))
-        Eligible::Plan.get({})
-      end
-    end
-  end
-
-  context "Plan" do
-    setup do
-      Eligible.api_key = "TEST"
-      @mock = mock
-      Eligible.mock_rest_client = @mock
-    end
-
-    teardown do
-      Eligible.mock_rest_client = nil
-      Eligible.api_key = nil
-    end
-
-    should "return an error if no params are supplied" do
-      params = {}
-      response = test_response(test_plan_missing_params)
-      @mock.expects(:get).returns(response)
-      plan = Eligible::Plan.get(params)
-      assert_not_nil plan.error
-    end
-
-    should "return plan information if valid params are supplied" do
-      params = {
-        :payer_name => "Aetna",
-        :payer_id   => "000001",
-        :service_provider_last_name => "Last",
-        :service_provider_first_name => "First",
-        :service_provider_NPI => "1928384219",
-        :subscriber_id => "W120923801",
-        :subscriber_last_name => "Austen",
-        :subscriber_first_name => "Jane",
-        :subscriber_dob => "1955-12-14"
-      }
-      response = test_response(test_plan)
-      @mock.expects(:get).returns(response)
-      plan = Eligible::Plan.get(params)
-      assert_nil plan.error
-      assert_not_nil plan.all
-    end
-
-    should "return the right subsets of the data when requested" do
-      params = {
-        :payer_name => "Aetna",
-        :payer_id   => "000001",
-        :service_provider_last_name => "Last",
-        :service_provider_first_name => "First",
-        :service_provider_NPI => "1928384219",
-        :subscriber_id => "W120923801",
-        :subscriber_last_name => "Austen",
-        :subscriber_first_name => "Jane",
-        :subscriber_dob => "1955-12-14"
-      }
-      response = test_response(test_plan)
-      @mock.expects(:get).returns(response)
-      plan = Eligible::Plan.get(params)
-
-      assert_not_nil  plan.all[:primary_insurance]
-      assert_not_nil  plan.status[:coverage_status]
-      assert_nil      plan.status[:deductible_in_network]
-      assert_not_nil  plan.deductible[:deductible_in_network]
-      assert_nil      plan.deductible[:balance]
-      assert_not_nil  plan.dates[:primary_insurance][:plan_begins]
-      assert_nil      plan.dates[:deductible_in_network]
-      assert_not_nil  plan.balance[:balance]
-      assert_nil      plan.balance[:deductible_in_network]
-      assert_not_nil  plan.stop_loss[:stop_loss_in_network]
-      assert_nil      plan.stop_loss[:deductible_in_network]
-    end
-  end
-
-  context "Service" do
-    setup do
-      Eligible.api_key = "TEST"
-      @mock = mock
-      Eligible.mock_rest_client = @mock
-    end
-
-    teardown do
-      Eligible.mock_rest_client = nil
-      Eligible.api_key = nil
-    end
-
-    should "return an error if no params are supplied" do
-      params = {}
-      response = test_response(test_service_missing_params)
-      @mock.expects(:get).returns(response)
-      service = Eligible::Service.get(params)
-      assert_not_nil service.error
-    end
-
-    should "return eligibility information if valid params are supplied" do
-      params = {
-        :payer_name => "Aetna",
-        :payer_id   => "000001",
-        :service_provider_last_name => "Last",
-        :service_provider_first_name => "First",
-        :service_provider_NPI => "1928384219",
-        :subscriber_id => "W120923801",
-        :subscriber_last_name => "Austen",
-        :subscriber_first_name => "Jane",
-        :subscriber_dob => "1955-12-14"
-      }
-      response = test_response(test_service)
-      @mock.expects(:get).returns(response)
-      service = Eligible::Service.get(params)
-      assert_nil service.error
-      assert_not_nil service.all
-    end
-
-    should "return the right subsets of the data when requested" do
-      params = {
-        :payer_name => "Aetna",
-        :payer_id   => "000001",
-        :service_provider_last_name => "Last",
-        :service_provider_first_name => "First",
-        :service_provider_NPI => "1928384219",
-        :subscriber_id => "W120923801",
-        :subscriber_last_name => "Austen",
-        :subscriber_first_name => "Jane",
-        :subscriber_dob => "1955-12-14"
-      }
-      response = test_response(test_service)
-      @mock.expects(:get).returns(response)
-      service = Eligible::Service.get(params)
-
-      assert_not_nil  service.all[:service_begins]
-      assert_not_nil  service.visits[:visits_in_network]
-      assert_nil      service.visits[:copayment_in_network]
-      assert_not_nil  service.copayment[:copayment_in_network]
-      assert_nil      service.copayment[:visits_in_network]
-      assert_not_nil  service.coinsurance[:coinsurance_in_network]
-      assert_nil      service.coinsurance[:visits_in_network]
-      assert_not_nil  service.deductible[:deductible_in_network]
-      assert_nil      service.deductible[:visits_in_network]
-    end
-  end
-
-  context "Demographic" do
-    setup do
-      Eligible.api_key = "TEST"
-      @mock = mock
-      Eligible.mock_rest_client = @mock
-    end
-
-    teardown do
-      Eligible.mock_rest_client = nil
-      Eligible.api_key = nil
-    end
-
-    should "return an error if no params are supplied" do
-      params = {}
-      response = test_response(test_demographic_missing_params)
-      @mock.expects(:get).returns(response)
-      demographic = Eligible::Demographic.get(params)
-      assert_not_nil demographic.error
-    end
-
-    should "return demographic information if valid params are supplied" do
-      params = {
-        :payer_name => "Aetna",
-        :payer_id   => "000001",
-        :service_provider_last_name => "Last",
-        :service_provider_first_name => "First",
-        :service_provider_NPI => "1928384219",
-        :subscriber_id => "W120923801",
-        :subscriber_last_name => "Austen",
-        :subscriber_first_name => "Jane",
-        :subscriber_dob => "1955-12-14"
-      }
-      response = test_response(test_demographic)
-      @mock.expects(:get).returns(response)
-      demographic = Eligible::Demographic.get(params)
-      assert_nil demographic.error
-      assert_not_nil demographic.all
-    end
-
-    should "return the right subsets of the data when requested" do
-      params = {
-        :payer_name => "Aetna",
-        :payer_id   => "000001",
-        :service_provider_last_name => "Last",
-        :service_provider_first_name => "First",
-        :service_provider_NPI => "1928384219",
-        :subscriber_id => "W120923801",
-        :subscriber_last_name => "Austen",
-        :subscriber_first_name => "Jane",
-        :subscriber_dob => "1955-12-14"
-      }
-      response = test_response(test_demographic)
-      @mock.expects(:get).returns(response)
-      demographic = Eligible::Demographic.get(params)
-
-      assert_not_nil  demographic.all[:timestamp]
-      assert_not_nil  demographic.zip[:zip]
-      assert_nil      demographic.zip[:group_id]
-      assert_not_nil  demographic.employer[:group_id]
-      assert_nil      demographic.employer[:zip]
-      assert_not_nil  demographic.address[:address]
-      assert_nil      demographic.address[:group_id]
-      assert_not_nil  demographic.dob[:dob]
-      assert_nil      demographic.dob[:address]
-    end
-  end
-
-  context "Claim" do
-    setup do
-      Eligible.api_key = "TEST"
-      @mock = mock
-      Eligible.mock_rest_client = @mock
-    end
-
-    teardown do
-      Eligible.mock_rest_client = nil
-      Eligible.api_key = nil
-    end
-
-    should "return an error if no params are supplied" do
-      params = {}
-      response = test_response(test_claim_missing_params)
-      @mock.expects(:get).returns(response)
-      claim = Eligible::Claim.get(params)
-      assert_not_nil claim.error
-    end
-
-    should "return claim information if valid params are supplied" do
-      params = {
-        :tbd => true
-      }
-      response = test_response(test_claim)
-      @mock.expects(:get).returns(response)
-      claim = Eligible::Claim.get(params)
-      assert_nil claim.error
-      assert_not_nil claim.status
-    end
-  end
-end